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Showing results for "pressure injury".
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201. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866693/psn-pdf
     September 11, 2024 - Common incidents included pressure injuries, medication errors, and premature discharge.

202. Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. | PSNet
     psnet.ahrq.gov/issue/delays-diagnosis-treatment-and-surgery-root-causes-actions-taken-and-recommendations
     March 25, 2020 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries. … March 18, 2020 Applying modern error theory to the problem of missed injuries in trauma

203. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49410/psn-pdf
     July 01, 2003 - had heard of the availability of topical skin adhesive that can be used in place of sutures to close wounds … An ophthalmologist evaluated the child the next day, and fortunately, there was no permanent injury. … Proper use of tissue adhesives involves choosing appropriate wounds, as well as patients, for the procedure … Prior to applying the product, hemostasis must be achieved with either pressure or topical application … Tissue adhesives in wound care. Hamilton: B.C. Decker Inc.; 2003. 7.

204. Exposure to incivility does not hinder speaking up: a randomised controlled high-fidelity simulation-based study. | PSNet
     psnet.ahrq.gov/issue/exposure-incivility-does-not-hinder-speaking-randomised-controlled-high-fidelity-simulation
     August 24, 2022 - March 30, 2022 Communication failures contributing to patient injury in anaesthesia malpractice … Related Resources Barriers and facilitators to reporting medical device-related pressure … Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury

205. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837675/psn-pdf
     July 13, 2022 - management combining the risks of multiple conditions (catheter-associated urinary tract infections, pressure … injuries, and falls).

206. AHRQ Safety Program for Improving Surgical Care and Recovery. | PSNet
     psnet.ahrq.gov/issue/ahrq-safety-program-improving-surgical-care-and-recovery
     December 24, 2008 - January 31, 2018 Pressure Injury Prevention in Hospitals Training Program.

207. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/861288/psn-pdf
     January 24, 2024 - care) adversely impacts patient safety, contributing to higher incidence of falls, medication errors, pressure … injuries, and healthcare-associated infections.

208. MR Safety Week. | PSNet
     psnet.ahrq.gov/issue/mr-safety-week
     November 17, 2016 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure … injuries. … August 8, 2018 Preventing accidents and injuries in the MRI suite.

209. Implementation of the Centers for Medicare & Medicaid Services' nonpayment policy for preventable hospital-acquired conditions in rural and nonrural US hospitals. | PSNet
     psnet.ahrq.gov/issue/implementation-centers-medicare-medicaid-services-nonpayment-policy-preventable-hospital
     September 16, 2020 - The study looked at four nursing-sensitive adverse outcomes: pressure ulcers, falls with injuries, catheter-associated … hospitals had significantly fewer of these hospital-acquired conditions, except for patient falls with injury

210. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49860/psn-pdf
     April 01, 2019 - improved functional independence at 4 and 12 months.(12-14) Hip fracture is a common and serious injury … , which in turn increases the risk of delirium, thromboembolism, pneumonia, pressure ulcers, and significant … Injury. 2018;49:1458-1460. [go to PubMed] 2. Cummings SR, Black DM, Rubin SM. … J Orthop Trauma. 2006;20:172-180. … J Orthop Trauma. 2014;28:e49-e55.

211. Supporting perioperative safety during a disaster through clinical crisis education. | PSNet
     psnet.ahrq.gov/issue/supporting-perioperative-safety-during-disaster-through-clinical-crisis-education
     July 05, 2017 - August 12, 2020 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … injury incidence. … January 15, 2025 Identifying resilience: a system safety review of trauma and orthopaedic

212. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852447/psn-pdf
     August 16, 2023 - palliative care can include inappropriate pain management, preventable hospital (re)admissions, falls, and pressure … injuries.

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848036/psn-pdf
     April 26, 2023 - Issues identified included medical device-related pressure injuries and device dislodgement, concerns

214. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848109/psn-pdf
     April 26, 2023 - Multiple services were contacted to assist with management of this complicated wound. … After conservative treatment for nearly three weeks, the wound did not show any appreciable healing, … To prevent iatrogenic injuries of this type, physicians, nurses, and pharmacists must work together … When the infusion exceeds this maximum rate, it may cause lowering of blood pressure.1 Calcium chloride … Management of severe calcium chloride extravasation injury: a case report.

215. Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications: a medical record review across nine Swiss hospitals. | PSNet
     psnet.ahrq.gov/issue/validity-16-ahrq-patient-safety-indicators-identify-hospital-complications-medical-record
     November 29, 2023 - The authors attributed low positive predictive value (PPV) in three of the PSIs (pressure injury, falls

216. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45036/psn-pdf
     February 15, 2017 - provide intensive rehabilitation to patients recovering from hospitalization for an acute illness or injury … Nearly half of the events were considered preventable, with the most common types of events including pressure

217. Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect? | PSNet
     psnet.ahrq.gov/issue/rates-adverse-events-hospitalized-patients-after-summer-time-resident-changeover-united
     June 22, 2022 - room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … March 23, 2012 Injury and death associated with incidents reported to the Patient Safety … Hospitals Medicine Medication Errors/Preventable Adverse Drug Events Nosocomial Infections Pressure

218. Effects of computerized decision support system implementations on patient outcomes in inpatient care: a systematic review. | PSNet
     psnet.ahrq.gov/issue/effects-computerized-decision-support-system-implementations-patient-outcomes-inpatient-care
     November 06, 2019 - effective for managing blood glucose and blood transfusions and for preventing venous thromboembolism , pressure … ulcers , acute kidney injury, and incipient clinical deterioration. … June 28, 2023 Implementation of the World Health Organization Trauma Care Checklist Program

219. Getting rid of "never events" in hospitals. | PSNet
     psnet.ahrq.gov/issue/getting-rid-never-events-hospitals
     April 25, 2016 - Never events are devastating and preventable, and health care organizations are under increasing pressure … September 21, 2005 "Near injury" alters procedures at Virginia Mason.

220. Exploring stakeholder perceptions around implementation of the Operating Room Black Box for patient safety research: a qualitative study using the theoretical domains framework. | PSNet
     psnet.ahrq.gov/issue/exploring-stakeholder-perceptions-around-implementation-operating-room-black-box-patient
     November 04, 2020 - mostly supportive of the OR Black Box, but several potential barriers were identified, such as time pressures … WebM&M Cases Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury … August 8, 2012 Role of intraoperative cholangiography in avoiding bile duct injury. … March 31, 2010 Laparoscopic bile duct injury: understanding the psychology and heuristics